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NPI Code Detail

MEDICARE: SARAY NAVARRO SUDRC

MEDICARE: SARAY NAVARRO SUDRC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor10839CA

General Provider Information

NPI Number : 1295351286
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAY NAVARRO SUDRC
Provider Business Mailing Address
First Line : 1939 W VISTA WAY
Second Line :
City : VISTA
State : CA
Zip : 92083-6019
Country : US
Telephone Number : 760-305-7528
Fax Number : 760-509-4410
Provider Business Practice Location Address
First Line : 1939 W VISTA WAY
Second Line :
City : VISTA
State : CA
Zip : 92083-6019
Country : US
Telephone Number : 760-305-7528
Fax Number : 760-509-4410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2020
Last Update Date : 03/03/2026

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Directions to “ SARAY NAVARRO SUDRC” Practice Location

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